ADVANTAGE PSYCHIATRY & COUNSELING (NPI# 1508801663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508801663 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE PSYCHIATRY & COUNSELING |
| Practice Address |
1003 Old Waterford Way Ste 1c Leland NC 28451-4102 |
| Practice Telephone | 9103711007 |
| Practice Fax Number | 9103716003 |
| Mailing Telephone | 9103711007 |
| Mailing Fax Number | 9103716003 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RUSSELL HERRING (CEO) |
| Authorized Official Telephone | 9103711007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5900767 | 05 | |
| NC | BCBS GROUP | 139H9 | 01 |
| NC | BCBS GROUP | 141MV | 01 |
| NC | 6005840 | 05 |
| Street Address |
1003 OLD WATERFORD WAY STE 1C |
| City | LELAND |
| State | NC |
| Zip Code | 28451-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487639589 | Roxanne Gail Howard | Psychologist | 1003 Old Waterford Way, Suite 1-c, Leland, NC 28451-4102 | 2005-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
| 1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
| 1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
| 1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
| Find all providers in zip 28451 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453063 | The Noel House | Psychologist | 117 E Lochhaven Dr, Fayetteville, NC 28314-1344 | 2019-05-23 |
| 1427315290 | Patricia Ann Ward | Psychologist | 1463 Jasper Rd, Greenville, NC 27834-6521 | 2012-04-18 |
| 1669704664 | Superior Living,llc | Psychologist | 3709 Columbia Ave Nw, Wilson, NC 27896-1604 | 2010-02-02 |
| 1649341488 | Psychotherapeutic Services, Inc | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2006-11-13 |
| 1700963584 | Kelly Jean Brown | Psychologist | 529 Country Club Road, Brevard, NC 28712 | 2006-11-01 |
| 1174561559 | County of Guilford | Psychologist | 211 S Centennial St, High Point, NC 27260-5215 | 2006-06-04 |
| 1700443207 | Mark Sturgis Jr. | Psychologist | 172 Spring St Sw, Concord, NC 28025-5035 | 2019-05-21 |
| 1548769680 | Bowden Enterprise Services, LLC | Psychologist | 7341 Windy Ct W, Bailey, NC 27807-8953 | 2018-02-05 |
| 1417387796 | Itherapyrx | Psychologist | 115 Atwood St, Sparta, NC 28675-9299 | 2013-11-22 |
| 1912251695 | Access Family Servides, Inc. | Psychologist | 8396 Six Forks Rd, Raleigh, NC 27615-3058 | 2012-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.